FOR INSTRUCTIONS, SEE BACK OF FORM FORM

Reset Form
DISCLOSURE SUMMARY PAGE DR-2 I DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 12/2005) REPORT

For Office Use Only 5,5,61

G
Montgomery County Republican Women Comm . #
IMPORTANT : Indicate by # type of committee you are reporting for: Logged In
( 1 )Statewide/Legislative/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party
Scanned
( 4 )County Central Committee ( 5 )County Candidate ( 6 )City Candidate ( 7 )School Board or Other
Political Subdivision Candidate ( 8 )County PAC ( 9 )City PAC ( 10 )School Board or Other Political Computer
Subdivision PAC ( 11 ) Local Ballot Issue
Audited
CANDIDATE COMMITTEES ONLY:
Candidate Name Political Party (if applicable) File with :
Iowa Ethics and Campaign
Disclosure Board
510 E . 12 `h, Ste . 1 A
Des Moines, Iowa 50319
Fax : 515-281-3701
Late reports are subject to possi e " n -minal penalties . Pursuant to Iowa Code section 68B .32A(7)
the candidate, for a candidate's committee, and the chairperson, for any other type of committee, is the
idual responsible for filial timely and accurate reports .

D-,, Ly~,o
NATURE OF PERSON FILING REPORT TELEPHONE DATE SIGNED

5-19-06
I AM FILING A REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) Indicate by #

CHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election

0 Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 .
County & Local Committees, enter County in
(You must continue to file reports until a DR-3 is filed .) which Election is held

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period . (Total of all funds held by the
committee . This amount MUST be the same as the cash on hand at the end
1,108 .13
of the last reporting period or must be zero if this is first report filed .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
ADD TOTAL MONEY TAKEN IN THIS PERIOD
758 .31
Schedule A : Cash Contributions total (Attach Schedule A) ('also see in-kind below) . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F: Loans Received total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule H : Total Sales of Campaign Property (Attach Schedule H) . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .
(Schedule H applies to Candidates' Committees Only)
SUB-TOTAL . . . . .. . . . . . . ... . . . . . . . .$ 1,866 .44
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
400 .60
Schedule B : Expenditures total (Attach Schedule B) ("also see debts and loans below) . . . . . . . . . . . . . . . . . .
Schedule F : Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .
CASH ON HAND at the end of this reporting period (if final report balance must
1,465 .84
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$

**UNPAID BILLS (From Schedule D - Attach Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$

'IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
*`OUTSTANDING LOANS (From Schedule F - Attach Schedule F) . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .$
CONSULTANT BREAKDOWN (Schedule G Attached?) - YES NO
CANDIDATE COMMITTEES ONLY:
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H)
STATE COMMITTEES : Submit a reconciled campaign account bank statement in January of each year .
For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN

A MONETARY
(Rev . 07/03) RECEIPTS
(Including candidate's personal funds)

COMMITTEE NAME (Must be same as on Statement of Organization)

0 AMENDING
CHECK THIS BOX IF
FORM

STATE CAN (DATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .

NOTE : ANY PERSON, OTHER THAN AN INDIVIDUAL, THAT CONTRIBUTES MORE THAN $750 TO YOUR CAMPAIGN MAY HAVE FILING
RESPONSIBILITIES AND SHOULD IMMEDIATELY CONTACT THE BOARD .

CAUTION : Section 68B .32A(6), prohibits the use of information copied from reports and statements for soliciting contributions or for any
commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# ~. Do), nct n1 ac- th 5 .~a
~~ .77 Do
OgLrol 015avi $
CK#
RcSCLII P_ 140
.1nseX'J co
aSOO
CK#
X6L+k1eeV1 a s . t^o
Te-a,+)et+-e . Pe-f~rSO-r~ aS . O a
ID#
Mar~0,r I e- Sec)12 r 1o1kr!~ 0c
CK# CCL'~1~eY 0ay-de-Y-
L Y1 ~ ~S. 00
To rnn0
. GclIPv- rrue. X 5 .00
ID# Yy)argarCt S-toldor~ a S. Vo
CK# Sf ace \5 yoyi Di e 1 ~m~3 evj S. 00
oV-M '\N k 1 So vt a S. oa
ID#

CK#

ID#

CK#

I D#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

SUB-TOTAL
$ 3 coo .
TOTAL (if last page of this schedule) $ .
v5CS00' _i3
Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) . If surname of contributor is the same as candidate, but there is no Page 1~? of 121
familial relationship, enter "not applicable" in the relationship column. (for Schedule A)
 For Instructions, See Back of Form SCHEDULE
Reset Form

CONTRIBUTIONS -- MONEY TAKEN IN

A MONETARY
(Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
0 CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

n?e -? a7wer

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .

NOTE : ANY PERSON, OTHER THAN AN INDIVIDUAL, THAT CONTRIBUTES MORE THAN $750 TO YOUR CAMPAIGN MAY HAVE FILING
RESPONSIBILITIES AND SHOULD IMMEDIATELY CONTACT THE BOARD .

CAUTION : Section 68B .32A(6), prohibits the use of information copied from reports and statements for soliciting contributions or for any
commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
roam ret~ ~-
mee"n9
a~o CK#
at Annr-
eyP- pctSze~ hct - $3a 0 0
ID#
Joni Lrh5t IDue5 -
NN"
-I CK# Jor)e-tte 0tj-.6- `4(0-07
J`O,C~O

ID#
~evrieS Vue.s
3(o10(o CK# -07 a5 D©
I ID#
D" i /(fit- 1W e l 3e .Vi - 17 u e!5 -'C4 A S . o t)
l9~G~(v CK# 5+-e e- r "07 &D
ID# Mo-,f--y GLJ-f~
CK# (bGLhMQ Nee -f ors-,LJ'b
S t~JYI i e `~h rr, b r s, o-n
3
Qt.ca-s CO(a °
ID#
V 1,vlcwl ~L(St7zus;~t?~U a?S
l l ~o CK# l~ct-!)'t-t' IU.1L `5.D- n /07 CTa
]A UAI I :. - G_"
ID#
l~'7Gt i" ~rl e VtMA1¢h l-1t-'2Q ~S-crd
(f
CK#
the a 5 -!J?7
I D# YU-' o~tS
S..
Jo ft-YfJn Ba&ham ~ .~`do
CK#

ID# I
' /a1/n1
CK#
J G
/30 /0 ~ ID#
i ,
~A C toe
CK#

SUB-TOTAL

TOTAL (if last page of this schedule)

* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) . If surname of contributor is the same as candidate, but there is no Page of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
 IOWA FEDERATION OF REPUBLICAN WOMEN
MEMBERSHIP REPORT

President Membership Chair Treasurer

District 5 Name J oAnn Butler Name Name Jonette Otte

Montgomery
County Address 1111 Division St Address Address 1150 C Avenue
Montgomery Co Red Oak 51566
Club Name City/Zip City/Zip City/Zip Henderson 51541
Republican Women 7 12-623-9204
Phone Phone Phone 712-825-3902
Alphabetical Listing of Club Members - T /Print
# Last Name First Name M1 fifNewI-C- (f Address City St Zip Home Phone Work Phone
Address Chg .

Blue Karen R 606 Sunset Zed Oak 51566 712-623-4081

Carder Catherine 1400 E Cherry Red Oak IA 51566 712-623-4335
Ebert Kathleen 1003 Oak Knoll Rd Red Oak A 51566 712-623-4266
Gellerman Donna 1214 Irene Crt Red Oak A 51566 712-623-3153
Hansen Rosalie R 1409 E Coolbaugh Red Oak A 51566 712-623-2804

Olsen Carol L 1200 Highland Red Oak A 51566 712-623-4188

Peterson Jeanette 1701 Forest Ave Red Oak IA 51566 712-623-4721
Sederburg Marjorie E 1006 Division St Red Oak IA 51566 712-623-

Smith Donna Mae 1209 Miller Red Oak IA 51566 712-623-4129

Stoldorf Margaret 1403 E Cherry St Red Oak IA 51566 402-397-9921 `
Von Dieling n Stacey L 911 E Washington Red Oak IA 51566 712-623-2176
Wilson Norma 2016 Forest Av Red Oak IA 51566 712-623-9372

ls

No. ON Thus Page Total Membership To Date_ /~, cl Amount Enclosed Check No. Date ,9- /8- C cps
DO NOT INCLUDE ASSOCIATE MEMBERS ON THIS FORM. 2/97ge
 IOWA FEDERATION OF REPUBLICAN WOMEN
MEMBERSHIP REPORT

President Membership Chair Treasurer

Jonette Otte
District 5 Name J oAnn Butler Name Name

County M ontgomery Address 1111 Division St

Address Address
1150 C Av

Club Name Montgomery Co City/Zip Red Oak, IA 51566 Henderson, IA51541

City/Zip Cit}~/Zip
Republican Women
Phone 7 12-623-9204 Phone Phone 712-825-3902
Alphabetical Listing of Club Members - T nt
# Last Name First Name Al tfN"wrc, if Address Cih, St Zip Home Phone Work Phone
Address Ch g .

Bruning Carleen 2689-180th Stanton A 51573 712-829-2788 71 a-c~z3- ,I3C:3

Butler JoAnn 1111 Division St Red Oak A 51566 712-623-9204 '712-623-93 :3

ulver aril n 12 Hi hland Av Red Oak A 51966 712-623-6892 1/2-E23 .3s`z

DeVries Jackie 3 Shaun Circle Red Oak A 51566 712-623-4646
Ernst Joni 910 N 6th St Red Oak A 51566 712-623-4931 7~~-623 7
Guffey Elizabeth 811 N 4th St Red Oak A 51566 712-623-2787

Guffe Mar 811 N 4th St Red Oak A 51566 712-623-2787

Heckert Martha 1211 E Valley St Red Oak A 51566 712-623-2854
McQuown Gretchen 1996 - 200th St Red Oak IA 51566 712-623-3212

Miller Ste hanie 309 - So 6th Red Oak A 51566 712-623-5353

Nelson Nancy 106 2nd, POB 92 Red Oak IA 51532 712-767-2712
Otte Jonette 1150 C Av Henderson A 51541 712-825-3902 712-825-3902
Rasmussen Vivian 2463-140th St Elliott IA 51532 12-767-2303

Thornbur Janice 808 1/2 Miller A Red Oak IA 51566 12-623-9089

Venner burg . Marjorie 2583 L Av Stanton IA 51573 12-829-2603

3- 5 .2 12

Welsch-Rosa es Danika 506 N 6th St Red Oak IA 51566 712-623-5127 7i~- <3-51 .?7
No. ON Thts Page r -t- Total Membership To Date / Amount Enclosed Check No. Date
DO NOT INCLUDE ASSOCIATE MEMBERS ON THIS FORM. 2/97ge
 FOR INSTRUCTIONS, SEE BACK OF FORM Reset Form SCHEDULE
B I MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev . 07/03) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD .

COMMITTEE NAME (Must be same as on Statement of Organization)

Montgomery County Republican Women

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT

DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
ID# 5th Dlstk-pct FRLv 7_reus
Ures-teh r A
CK#
h'-q
o
servr'ee fee $ 30, co
ID# " "
~ZO1Zt9ornerj Llvu-n-ty Y*PA roorn rn~ r r~u~
.~v, ao
~l .~llSCo CK# St-

ID# p

CK# Xa- n. rncCL i- -~-

/D ~2 3 / ' -144fh t l v&cyyr b P_ ol- 5
ID#
St-h !~%s~ ~~/Uf~cblr c~zu 'C~ (a ~l St r/'ct ~~C~5 , y,j-
CK#

ID#
Jo A ~`':~ a9 e~z v -lowes (~, 4S
o(v CK# 1
a ~y <<, ~ b %~~ <°~~

ID# x ~ CI

ID#

D
I D#

CK#

SUB-TOTAL $

TOTAL (if last page of this schedule) $ Gr7q

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY:

Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions .)

Expenditures to persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 68A.402(3)(i) .)

Page of

(for Schedule B)